• Title/Summary/Keyword: 주 부양자

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The Impact of Family Caregiving for the Elderly with Dementia on Depression in the United States: Does the Relationship of Caregivers to Care Recipients Matter? (미국 치매노인 부양자의 우울증에 영향을 미치는 요소: 배우자 부양자와 딸 부양자 비교 연구)

  • Baek, Ju-Hee;Zarit, Steven H.
    • 한국노년학
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    • v.29 no.4
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    • pp.1591-1609
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    • 2009
  • Adult child caregivers and spousal caregivers might deal with differential challenges. Studies about caregivers' psychological outcomes, however, tended to investigate associations between caregiving and its outcomes by pooling adult child caregivers and spousal caregivers together. By using a U. S. sample of family caregivers who assisted a relative with dementia, this study examined whether the relationship of caregivers to care receivers (daughter caregivers or spousal caregivers) made a difference in levels of depressive symptoms. The result showed that wife caregivers were more likely to be depressed than daughter caregivers. For daughter caregivers, role overload, role captivity, and behavior problems significantly influenced on depression. Besides these variables, the level of education was a significant predictor for wife caregivers. Role captivity and behavior problems significantly impacted on depression for husband caregivers. Thus, role captivity and behavioral problems were common predictors for all the caregivers. Specifically, higher levels of role captivity and behavioral problems were likely to make caregivers more depressed. The implication of these results were discussed.

The Effect of Psychological Factors on Caregiver Burden and Depression of Spousal Caregivers (배우자 부양자의 심리적 요인이 부양부담과 우울에 미치는 영향)

  • Choo Yon Hong;Min Hee Kim;Bang Hee Jung
    • Korean Journal of Culture and Social Issue
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    • v.18 no.3
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    • pp.367-387
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    • 2012
  • The purpose of the current study was to examine the effect of psychological factors on caregiver burden and depression among Korean spousal caregivers. 142 spousal caregivers (89 wives, 52 husbands) in Seoul and Incheon City were surveyed to determine the influence of objective factors of the care recipient, demographic of the caregiver, personality dimensions of extroversion and neuroticism of caregiver, social support, and pre-caregiving marital satisfaction on caregiver burden and depression of spousal caregivers. Hierarchical regression was used to determine the influence of the various factors on caregiver burden and depression. Finding suggest that care recipient's activities of daily living(ADL) and caregiver neuroticism predicted caregiver burden, whereas pre-caregiving martial satisfaction and caregiver neuroticism predicted depression. In particular, psychological factors were better predictors of caregiver burden and depression compared with objective factors. Based on the results, the implications, interventions, limitations and future directions for research were discussed about the psychological factors on spousal caregiving.

The Care Giving Burden of Primary Caregiver based on Nursing Needs of Long-term Care lnsurance Grade (노인 장기 요양 보험 등급자의 간호요구에 따른 주 수발자의 부양부담감)

  • Kim, Mi-Kyoung;Park, Dahye;Ahn, Okhee
    • Journal of the Korea Convergence Society
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    • v.5 no.3
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    • pp.7-16
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    • 2014
  • The purpose of this study was to identify the factors influencing the level of nursing needs of a long-term care service user at home and the care giving burden of a primary caregiver. For this study, data were collected from 152 primary caregivers in J City with self-administered questionnaires and analyzed using multiple regression technique. Among the nursing needs of long-term care giving service users, the level of psychological and social requests was the highest. This study found that two characteristics variables(long-term care insurance benefit level and long-term care giving grade) had difference was statistically significant in physical nursing needs and psychological nursing needs. Out of care giving burden of primary caregivers, physical care giving burden was found to be the highest. Out of factors influencing care giving burden, daily care giving hours was the factor which had strongest influence. Basic living recipients and female primary caregivers showed higher care giving burden. The more care givers there were, the less care giving burden became.

Predictors of Nursing Home Placement for the Elderly with Dementia: Adult Child Caregivers VS. Spousal Caregivers (치매노인의 요양시설 입소에 미치는 영향: 배우자 부양자 대 성인자녀 부양자)

  • Baek, Ju-Hee
    • 한국노년학
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    • v.25 no.2
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    • pp.127-141
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    • 2005
  • Prior studies about nursing home placement identified factors contributing to the risk of institutionalization by pooling adult child caregivers and spousal caregivers together, regardless of differential challenges for the two types of caregivers. In a sample of 456 caregivers followed for a 2 year period, an event history analysis showed that relationship made difference in time to placement and that differential factors led to institutionalization for spousal caregivers and daughter caregivers. Spousal caregivers are more likely to place dementia patients into nursing homes sooner than adult child caregivers. The age of care recipients and role captivity (refers to being unwilling, involuntary incumbent of a caregiver role) are predictors of placement for both groups of caregivers. Dementia patients who were older had a greater risk of institutionalization. Greater feelings of role captivity also shortened the time to placement. Income and education are significant predictors only for caregiving daughters. Daughters who had a high education level are more likely to delay nursing home placement whereas those who had a higher income are more likely to institutionalize their demented parents sooner. Use of day care and behavioral problems are significant predictors only for spousal caregivers. Specifically, use of day care and behavioral problems precipitates nursing home placement. The findings of this study suggest that interventions for helping family members to provide care to the demented elderly at home must consider different circumstances faced by caregiving spouses and caregiving daughters.

Caregiver Burden of Patients with Dementia and Day Care Center of Small Size Model within a Zone of Life (치매환자 부양자부담과 생활권 내 소규모 주·야간 돌봄 서비스 모델)

  • Na, Seung-kwon;Park, Eun-Ju
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.9 no.4
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    • pp.428-438
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    • 2016
  • The aim of this study, in order to reduce the support burden of dementia primary caregiver, within the framework of long-term care insurance system to present its founding model for the development of new services. Previous research as analytical materials and based on the CARE study between 2012 to 2013. Primary caregiver burden of patient are both physical, psychological and economic aspects as well as difficulties in many aspects and had influence on many factors such as age, care burden, economic, health, and social support. It also came high-risk primary caregiver suffer from depression. This primary caregiver to take advantage of the elderly long-term care insurance system implemented at the time of the institutional support necessary for since 2008, presented additional services in this study. Of increasing the small sizes day care center (tentative name) to open an as established in the settlements at a scale of less than nine, within 5 minutes from the residence, limited dementia by expertise in the disease home care services scale model of the current system service It was to improve the quality of existing shares, small group sizes for day care centers and community life apart.

A Study on the Conflict of Family Support in the Novels of Park, Wan - Se (박완서 소설에 나타난 노인에 대한 가족부양 갈등 연구)

  • Oh, Joon Shim;Kim, Seong Yong
    • 한국노년학
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    • v.29 no.4
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    • pp.1341-1359
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    • 2009
  • In the wake of the radical structural change of the society, problems in family support for the old aged have arisen. Against this backdrop, the aim of this study was to examine aspects of the conflicts in family support focusing on novels by Park Wan-seo, and to analyze the expression of the family support awareness within the social consciousness. It selected the works that contain the contents of the elderly's support among 92 short stories, which were published from 1970s and 2006. The short novels that are contained the elderly's support are 9; , , , , ,

A Study on Pauperization Process of Low-Income Woman Head of Household (저소득 여성가구주의 빈곤화 과정에 대한 연구)

  • Chung, Mi-Suk
    • Korean Journal of Social Welfare
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    • v.59 no.4
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    • pp.191-216
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    • 2007
  • This study focuses on the problem of feminization of poverty that is formed within family relations. In order to approach this question, this study analyses the process of becoming poor through the life stories of ten woman are now heads of a household. There are differences among the study participants in the process of becoming a member of a low-income class. I have classified them into two groups depending on the routes they are led into the low-income class; one is the continuation of poverty group, and the other is the new members of the low-income class group. The continuation of poverty group is the case where they have been poor since their childhood and are still poor in their adulthood. The new members of the low-income class group is the case where you have become a low-income class sometime around divorce. The difference of the groups are related to the differences of the ways the power relationships work within a family. Women head of a household are prone to poverty because of the discrimination in formation, distribution and control of resources in their original family and their family formed by marriage. The norm of male breadwinner worked as a discrimination device. But this kind of discrimination device showed differences in their workings according to class. The continuation of poverty group experienced exclusion in the gendered responsibility of supporting the family and maintaining the family, whereas the other group experienced exclusion through the gendered nature of the distribution and control of resources. By showing that the presupposition of discussions on the poverty of woman head of a household is false, these findings challenge the existing view that as long as 'The Family' is maintained women will not be poor.

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The Factors that Influence Amount and Types of Informal Caregiving to the Severely Disabled Elderly (중증장애노인의 비공식 보호 제공량과 유형의 결정요인 연구)

  • Park, Chang-Je;Kim, Ki-Tae
    • Korean Journal of Social Welfare
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    • v.54
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    • pp.203-220
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    • 2003
  • The purpose of this study is to identify and empirically study the factors that significantly influence amount and types of Informal caregiving to severely disabled elderly who have functional limitations. For this research, a set of caregivers living with the severely elderly were surveyed. Among collected data, data for 211 caregivers were used for this study. The results suggest that a variety of factors determine informal caregivers do systematically determine their allocation of time to the provision of elderly care. The results of four OLS regressions using data surveyed are as follows. First, The hypothesized role of income is supported in model 1 of the four regression models. Second, the technological components of informal care production significantly influences caregiving hours include the number of ADLs and IADLS needs help, the number of caregivers in the team, the utilization of formal services. Third, any component of production technology of household goods do not significantly influence caregiving hours. Fourth, the components of preferences significantly influence caregiving hours include caregiver's participation in market work, willingness money to pay market-purchased care for the elderly.

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Factors Influencing Dementia Caregivers' Health-related Quality of Life (치매노인 주 부양자의 건강관련 삶의 질 예측인자)

  • Kim, Jung-Soon;Kim, Myoung-Soo;Kim, Soo-Ok;Yoo, Youn-Ja;Won, Dae-Young
    • Research in Community and Public Health Nursing
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    • v.18 no.2
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    • pp.232-241
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    • 2007
  • Purpose: The aim of this study was to explore the health-related quality of life of caregivers for demented elders. Method: The subjects of this study were 170 pairs of demented elders and their caregivers. Socio-demographic characteristics of the demented elders and the caregivers, Barthel index and SF-36 were used in this study. Data analysis procedure included t-test, ANOVA, Pearson correlation coefficient, and hierarchical multiple regression. Results: The score of overall health-related quality of life (HRQoL) was 288.62 in norm-based scoring. The major factors that affect HRQoL of the demented elders' caregivers were burden, the age of the caregiver, ADL and gender of the demented elder, and these factors explained 34.5% of HRQoL. Conclusion: The factors significantly affecting the caregivers' HRQoL were burden, the age of the caregiver and ADL. The effective social support system should be considered in respective nursing interventions to decrease the level of burden and to increase HRQoL in demented elders' caregivers. Further studies and efforts will be needed to investigate preceding factors of burden and HRQoL.

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An Effect of Personal Assistance Services for the Disabled Persons upon the Burdens of Raising a Family - Focusing on Family Resilience Control Effect - (활동보조서비스가 가족부양부담에 미치는 영향 -가족탄력성 조절효과-)

  • Shin, Jun Ok
    • 재활복지
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    • v.18 no.4
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    • pp.95-117
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    • 2014
  • This study aims to examine the effects of personal assistance services(physical activity support, homemaking activity support, social activity support) on caregiver burden and determine whether family resilience(family belief system, family cohesion, interaction) has a moderating effect between personal assistance services and caregiver burden, thereby presenting a reference data which can be used to seek a practical measure for handicapped welfare. This study was conducted on 200 primary caregivers with disabled family members of rank 1 or 2 in east, west, south, and north Gyeonggi-do using personal assistance services. Data was collected in 2013 from April 1 to May 15, and was analyzed using the SPSS 19.0 statistics program in which a moderated multiple regression analysis based on exploratory factor analysis, confirmatory factor analysis, and hierarchical regression analysis was performed. The primary conclusions of this study were as follows; First, the use of physical activity support was showed to have a positive effect in reducing family burden related to disabled care. Second, personal assistance services exhibit significant moderator effects related to family burden in family belief systems and family cohesion.